Sample records for oesogastrique resecables quel

Development of a course in French for tourism and the hotel industry in Sweden is chronicled, focusing on the process of functional analysis used to determine appropriate language content. A general functional outline of touristic French and an outline of language functions specific to a restaurant situation are presented. (MSE)

The status of French in Morocco is ambiguous: it is neither an official language nor a foreign language, and it would benefit greatly from an official definition that would allow a variety of language conflicts to be resolved. (MSE)

This issue deals with verb-object complementation, a complex and controversial but important topic, in particular in connection with the teaching and learning of a second language. The articles are a response to a long debate about the harmonization of grammatical terminology used in schools and the simplification of grammar for students. The…

Scaffolding strategies occurring in interactions between speech pathologists and migrant children are discussed. Various contexts and strategies are first defined, and the role of the concept of scaffolding in different types of research is examined. Finally, a corpus of therapist-child interactions is analyzed, focusing on problems of mutual…

Two articles address change and conflict concerning the French language. One discusses the comparative roles of English and French at the United Nations office in Geneva; the other is in response to the opinions of Philippe de Saint Robert on the need to protect French from change. (MSE)

It is proposed that video materials for French language instruction help illustrate two closely related aspects of the foreign language, linguistic and cultural. Guidelines for video materials selection are offered, common pitfalls are noted, and principles used by a French applied linguistics group to develop a series of materials are outlined.…

Contains five articles, all in French, reporting research on French second language instruction. "Francophonie et francais langue seconde a l'oral: quel(s) culture(s), quelles methodes?" (Francophony and Spoken French as a Second Language: What Cultures(s), What Method(s) (D. Issa-Sayegh) discusses the content and structure of a university course…

The world demand for primary energy keeps increasing and has little chance to decrease over the next decades, when considering the desirable and necessary development of the less wealthy countries. The two weightiest questions are to provide electricity to megalopolis, and fuels for transportation. In the present situation, fossil fuels (crude oil, natural gas and coal) provide 90 % of primary energy. Furthermore, hydrocarbons (crude oil and gas) are considered as closing energies to balance the level of demand. However, the link between fossil fuel consumption for one and a half century and climate change is now considered as highly probable. Crude oil and natural gas reserves are substantial, but limited. One half of the proven reserves of crude oil, and one third of gas reserves will be already used in year 2020. Gas reserves will be sufficient to reach 2050, but proven reserves of crude oil will not last until that year. Coal only, which is the largest source of CO 2 and pollutants, provides enough reserves for several centuries. A considerable effort of scientific and technological research is the only way to reach the end of the century using oil and gas, plus a drastic effort for saving energy. This effort in research is discussed in the paper, but it does not provide until now an answer to the climate problem.

Cholangiocarcinoma represents the second most common primary hepatobiliary cancer. Although few patients are candidates for surgery, surgical resection represents the only potential curative option. The prognosis for patients remains poor, despite advances in the understanding of mechanisms involved in carcinogenesis. This review aims to assess clinicopathological factors and biological markers for the ability to predict prognosis. Clinicopathologic factors most often cited are tumor size, lymph node involvement, resecability and surgical margins involvement. Molecular biomarkers have been examined and a number of these, including mdm2, p27, matrix metalloproteinases and vitamin D receptor appear to have prognostic utility. The advent of 'omic'-based profiling offers the potential to assess many different biomarkers at the same time. This 'protein/gene signature' could open the way for developing valid and reproducible predictors of survival based on protein or gene profiles. PMID:19357015

Fifteen to 20% of breast cancers display HER2 amplification. Many therapeutic successes have been obtained for this subtype in the last decade since trastuzumab approval for metastatic and localized diseases. Pertuzumab, a new anti-HER2 antibody, has been approved in 2013 by the European Medicine Agency. This drug can be used in combination with trastuzumab and docetaxel for the first line treatment of metastatic or locally recurrent non resecable HER2-positive breast cancers not previously treated by chemotherapy or HER2-inhibitors in the metastatic setting. This approval has been done after the CLEOPATRA trial results. This was a randomized, double-blind, multicentre, phase III trial evaluating the standard treatment (trastuzumab plus docetaxel) associated to pertuzumab or placebo. The authors have reported a statistically significant and clinically relevant benefit for the pertuzumab-based treatment. Median progression-free survival was 18.4 for the pertuzumab arm versus 12.5 months for the control group (p<0.001). They also observed benefits concerning the secondary endpoints: overall response rate and overall survival. Patients receiving pertuzumab presented more frequent diarrhea and febrile neutropenia but no increase in cardiac events. This drug has already been evaluated in the neoadjuvant setting with a FDA approval recently obtained. Its use in the adjuvant setting is under evaluation. PMID:25091659

Introduction: Failure of treatment for high grade gliomas is usually due to local recurrence at the site of surgical resec-tion indicating that a more aggressive form of local therapy could be of benefit. Photodynamic therapy (PDT) is a local form of treatment involving the administration of a tumor-localizing photosensitizing drug that is activated by light of a specific wavelength The results of in vitro experiments indicated that PDT, given at low fluence rates was substantially more effective at inhibiting glioma spheroid growth than short term high fluence rate regimes. This prompted the initia-tion of in vivo studies of low fluence rate 5-aminolevulinic acid (ALA) PDT in a rat glioma model. Methods:BT4C cell line tumors were established in the brains of inbred BD- IX rats. Eighteen days following tumor induction the animals were injected with 125 mg/kg ALA ip. and four hours later light treatment at various fluences and fluence rates were given after the introduction of an optical fiber. Tumor histology and animal survival were examined. Results: In vitro experiments verified that the cell line was sensitive to ALA PDT. Microfluorometry of frozen tissue sections showed that PpIX is produced with a greater than 20:1 tumor to normal tissue selectivity ratio four hours after ALA injection. Histological examination demonstrated neutrophil infiltration and tumor central necrosis in low fluence rate treated tumors. Conclusions: Low fluence rate long term ALA mediated PDT had a more pronounced effect on tumor histology than single shot short duration treatments at similar total fluence levels.

Despite the global occurrence of salt, very few salt bodies outcrop and are presently preserved at the surface. Because of this much of our knowledge on salt structures is sourced from subsurface imaging and modeling and less from field based studies. Using interferometry of synthetic aperture radar (InSAR) we monitor surface displacements across four surface salt outcrops in the western margin of the Kuqa fold-thrust belt of Xinjiang Province, China. An InSAR time series was constructed from 40 Envisat ASAR C-band images between June 2003 and October 2010. Interferometric processing was completed using the New Small Baseline Algorithm Subset (NSBAS). These poorly studied salt structures provide a fresh opportunity to study how salt behaves on the surface. The salt bodies outcrop along an active intracontinental thrust system between the Tian Shan and Tarim basin to the south. The four surface namakiers (salt glaciers) were analyzed in this study include: the Quele, Awate, Bozidun, and an unnamed structure referred to as the Western namakier. The ~35 km long Quele namakier is a line-sourced structure advancing along the Quele salt thrust. The other three namakiers range between ~1-3 km long and are point-sourced structures. The namakiers studied display non-steady deformation with rates of displacement varying between uplifts of up to +4 cm/yr and subsidence rates of -4 cm/yr. Additionally, the Kuqa fold-thrust belt hosts a number of hydrocarbon fields and InSAR measurements detect significant anthropogenic deformation associated with hydrocarbon extraction and fluid injection.

We extend Q-UEL, our universal exchange language for interoperability and inference in healthcare and biomedicine, to the more traditional fields of public health surveys. These are the type associated with screening, epidemiological and cross-sectional studies, and cohort studies in some cases similar to clinical trials. There is the challenge that there is some degree of split between frequentist notions of probability as (a) classical measures based only on the idea of counting and proportion and on classical biostatistics as used in the above conservative disciplines, and (b) more subjectivist notions of uncertainty, belief, reliability, or confidence often used in automated inference and decision support systems. Samples in the above kind of public health survey are typically small compared with our earlier "Big Data" mining efforts. An issue addressed here is how much impact on decisions should sparse data have. We describe a new Q-UEL compatible toolkit including a data analytics application DiracMiner that also delivers more standard biostatistical results, DiracBuilder that uses its output to build Hyperbolic Dirac Nets (HDN) for decision support, and HDNcoherer that ensures that probabilities are mutually consistent. Use is exemplified by participating in a real word health-screening project, and also by deployment in a industrial platform called the BioIngine, a cognitive computing platform for health management. PMID:26386548

Our previous reports described the use of the Hyperbolic Dirac Net (HDN) as a method for probabilistic inference from medical data, and a proposed probabilistic medical Semantic Web (SW) language Q-UEL to provide that data. Rather like a traditional Bayes Net, that HDN provided estimates of joint and conditional probabilities, and was static, with no need for evolution due to "reasoning". Use of the SW will require, however, (a) at least the semantic triple with more elaborate relations than conditional ones, as seen in use of most verbs and prepositions, and (b) rules for logical, grammatical, and definitional manipulation that can generate changes in the inference net. Here is described the simple POPPER language for medical inference. It can be automatically written by Q-UEL, or by hand. Based on studies with our medical students, it is believed that a tool like this may help in medical education and that a physician unfamiliar with SW science can understand it. It is here used to explore the considerable challenges of assigning probabilities, and not least what the meaning and utility of inference net evolution would be for a physician. PMID:25464353

DFACS is an interactive multi-user computer-aided engineering tool for system level electrical integration and cabling engineering. The purpose of the program is to provide the engineering community with a centralized database for entering and accessing system functional definitions, subsystem and instrument-end circuit pinout details, and harnessing data. The primary objective is to provide an instantaneous single point of information interchange, thus avoiding error-prone, time-consuming, and costly multiple-path data shuttling. The DFACS program, which is centered around a single database, has built-in menus that provide easy data input and access for all involved system, subsystem, and cabling personnel. The DFACS program allows parallel design of circuit data sheets and harness drawings. It also recombines raw information to automatically generate various project documents and drawings including the Circuit Data Sheet Index, the Electrical Interface Circuits List, Assembly and Equipment Lists, Electrical Ground Tree, Connector List, Cable Tree, Cabling Electrical Interface and Harness Drawings, Circuit Data Sheets, and ECR List of Affected Interfaces/Assemblies. Real time automatic production of harness drawings and circuit data sheets from the same data reservoir ensures instant system and cabling engineering design harmony. DFACS also contains automatic wire routing procedures and extensive error checking routines designed to minimize the possibility of engineering error. DFACS is designed to run on DEC VAX series computers under VMS using Version 6.3/01 of INGRES QUEL/OSL, a relational database system which is available through Relational Technology, Inc. The program is available in VAX BACKUP format on a 1600 BPI 9-track magnetic tape (standard media) or a TK50 tape cartridge. DFACS was developed in 1987 and last updated in 1990. DFACS is a copyrighted work with all copyright vested in NASA. DEC, VAX and VMS are trademarks of Digital Equipment Corporation

We describe here the applications of our recently proposed Q-UEL language to continuity of patient care between physicians, specialists and institutions as mediated via the Internet, giving examples derived from HL7 CDA and VistA of particular interest to workflow. Particular attention is given to the Universal Exchange Language for healthcare as requested by the US President׳s Council of Advisors on Science and Technology (PCAST) released in December 2010, especially in regard to disaggregation of the patient record on the Internet. To illustrate many features and options, one of our most elaborate configurations combining them, for disaggregation and reaggregation, is described. The Q-UEL tags used do not physically join, but query each other from a random mix via the application. Despite the computationally demanding complexity of the configuration with two joining tags for each data tag and four independently evolving keys, plus a valuable but rate limiting isomorphism test, packets of essential clinical data for patient could be recovered and displayed every 2 s for a "club" of 30,000-50,000 patients in the mix. All computation here is on a standard laptop, but for practical use of the Internet to display downloaded data, the above is adequate, so focus is primarily on increasing club size. In practice, it is not necessary that a club comprise an entire nation. Assuming that one does not use purely random assignments of patients to arbitrary clubs, there could for example be a club comprising all schoolchildren in Scotland, or a club comprising all military veterans in Illinois. In such cases, one is typically dealing with clubs each of the order of a mere million patients. Using such club sizes efficiently, and in principle even a club the size of a whole country, appears to be possible. PMID:25464348

Extracting medical knowledge by structured data mining of many medical records and from unstructured data mining of natural language source text on the Internet will become increasingly important for clinical decision support. Output from these sources can be transformed into large numbers of elements of knowledge in a Knowledge Representation Store (KRS), here using the notation and to some extent the algebraic principles of the Q-UEL Web-based universal exchange and inference language described previously, rooted in Dirac notation from quantum mechanics and linguistic theory. In a KRS, semantic structures or statements about the world of interest to medicine are analogous to natural language sentences seen as formed from noun phrases separated by verbs, prepositions and other descriptions of relationships. A convenient method of testing and better curating these elements of knowledge is by having the computer use them to take the test of a multiple choice medical licensing examination. It is a venture which perhaps tells us almost as much about the reasoning of students and examiners as it does about the requirements for Artificial Intelligence as employed in clinical decision making. It emphasizes the role of context and of contextual probabilities as opposed to the more familiar intrinsic probabilities, and of a preliminary form of logic that we call presyllogistic reasoning. PMID:27089305

During the second semester of 2009, three trips were made from Olhão (Southern Portugal) to Stralsund (Northern Germany) carrying 2.122 animals, which included multiple teleosts, elasmobranchs and invertebrates. This group included scombrids, such as 1.869 Scomber japonicus and 9 Sarda sarda, which are notoriously difficult to transport. However, multiple adaptations to transport regimes adopted regularly have allowed the authors to successfully move these animals by road and air over a total of up to 25 hr. Such adaptations included maintaining oxygen saturation rates at approximately 200%, and also the constant addition of AmQuel(®) , sodium bicarbonate, and sodium carbonate. Different formulations were used during the three trips, with the best results corresponding to 20/30/30 ppm of the three aforementioned chemicals, respectively. The authors suggest, however, that a modified formula of 20/40/40 ppm will allow for an even more stable pH on future trips. PMID:20853412

The spider genus Cebrennus Simon, 1880 is revised again after thirteen years. Four new species are described: Cebrennus atlas spec. nov. from Morocco (female), C. flagellatus spec. nov. from Afghanistan (male), C. laurae spec. nov. from Canary Islands (male), and C. rechenbergi spec. nov. from Morocco (male and female). Cebrennus clercki (Audouin, 1826) comb. nov. is transferred from Philodromidae to Sparassidae and considered a nomen dubium. The holotype of C. aethiopicus Simon, 1880 is illustrated for the first time. Cebrennus tunetanus Simon, 1885 is re-described by illustrating its copulatory organs and some somatic characters, the internal duct system is shown for the first time supporting its placement in Cebrennus. An updated identification key for all species is provided. New records of Cebrennus species are listed: C. wagae (Simon, 1874) is recorded from Libya and Malta for the first time, the latter representing the first record for the entire genus from Europe. C. kochi (O. Pickard-Cambridge, 1872) is recorded from Syria, C. aethiopicus from Sudan for the first time. Records from the Canary Islands and from Afghanistan extend the known generic distribution range further to the West and East. Behavioural aspects (burrowing, escaping, mating) of C. rechenbergi and partly of C. villosus (Jézéquel & Junqua, 1966) are described. Photographs of this behaviour as well as of the habitus of several species are provided. PMID:24869871

Native Hawaiian forests are characterised by a high degree of endemism, including pathogens as well as their hosts. With the exceptions of koa (Acacia koa Gray), possibly maile (Alyxia oliviformis Gaud.), and, in the past, sandalwood (Santalum spp.), forest species are of little commercial value. On the other hand, these forests are immensely important from a cultural, ecological, and evolutionary standpoint. Forest disease research was lacking during the mid-twentieth century, but increased markedly with the recognition of ohia (Metrosideros polymorpha Gaud.) decline in the 1970s. Because many pathogens are themselves endemic, or are assumed to be, having evolved with their hosts, research emphasis in natural areas is on understanding host-parasite interactions and evolutionary influences, rather than disease control. Aside from management of native forests, attempts at establishing a commercial forest industry have included importation of several species of pine, Araucaria, and Eucalyptus as timber crops, and of numerous ornamentals. Diseases of these species have been introduced with their hosts. The attacking of native species by introduced pathogens is problematic - for example, Armillaria mellea (Vahl ex Fr.) Que??l. on koa and mamane (Sophora chrysophylla (Salisb.) Seem.). Much work remains to be done in both native and commercial aspects of Hawaiian forest pathology.

The basidiomycetous mushroom Phellinus igniarius (L.) Quel. has been used as traditional medicine in various Asian countries for many years. Although many reports exist on its anti-oxidative and anti-inflammatory activities and therapeutic effects against various diseases, our current knowledge of its effect on stroke is very limited. Stroke is a neurodegenerative disorder in which oxidative stress is a key hallmark. Following the 2005 discovery by Igarashi’s group that acrolein produced from polyamines in vivo is a major cause of cell damage by oxidative stress, we now describe the effects of anti-oxidative extracts from P. igniarius on symptoms of experimentally induced stroke in mice. The toxicity of acrolein was compared with that of hydrogen peroxide in a mouse mammary carcinoma cell line (FM3A). We found that the complete inhibition of FM3A cell growth by 5 μM acrolein could be prevented by crude ethanol extract of P. igniarius at 0.5 μg/ml. Seven polyphenol compounds named 3,4-dihydroxybenzaldehyde, 4-(3,4-dihydroxyphenyl-3-buten-2one, inonoblin C, phelligridin D, inoscavin C, phelligridin C and interfungin B were identified from this ethanolic extract by LCMS and 1H NMR. Polyphenol-containing extracts of P. igniarius were then used to prevent acrolein toxicity in a mouse neuroblastoma (Neuro-2a) cell line. The results suggested that Neuro-2a cells were protected from acrolein toxicity at 2 and 5 μM by this polyphenol extract at 0.5 and 2 μg/ml, respectively. Furthermore, in mice with experimentally induced stroke, intraperitoneal treatment with P. igniarius polyphenol extract at 20 μg/kg caused a reduction of the infarction volume by 62.2% compared to untreated mice. These observations suggest that the polyphenol extract of P. igniarius could serve to prevent ischemic stroke. PMID:25811373

The aim of a 3-year study was to investigate whether inoculation of Pinus sylvestris L. and Picea abies (L.) Karst. seedlings with mycorrhizas of Cenococcum geophilum Fr., Piceirhiza bicolorata, and Hebeloma crustuliniforme (Bull.) Quel. has any impact on: 1) survival and growth of outplanted seedlings on abandoned agricultural land, and 2) subsequent mycorrhizal community development. For inoculation, the root system of each plant was wrapped in a filter paper containing mycelium, overlaid with damp peat-sand mixture and wrapped in a paper towel. In total, 8,000 pine and 8,000 spruce seedlings were planted on 4-ha of poor sandy soil in randomized blocks. Already after the first year natural mycorrhizal infections prevailed in the inoculated root systems, and introduced mycorrhizas were seldom found. Yet, the seedlings that had been pre-inoculated with C. geophilum and the P. bicolorata during the whole 3-year period showed significantly higher survival and growth as compared to controls. Moreover, the independent colonization of roots by C. geophilum and the P. bicolorata from natural sources was also observed. A diverse mycorrhizal community was detected over two growing seasons in all treatments, showing low impact of inoculation on subsequent fungal community development. A total of 19 additional ectomycorrhizal morphotypes was observed, which clustered into two well-separated groups, according to host tree species (pine and spruce). In conclusion, the results showed limited ability to increase tree survival and growth, and to manipulate the mycorrhizal community even by extensive pre-inoculations, indicating that fungal community formation in root systems is governed mainly by environmental factors. PMID:17277941

The basidiomycetous mushroom Phellinus igniarius (L.) Quel. has been used as traditional medicine in various Asian countries for many years. Although many reports exist on its anti-oxidative and anti-inflammatory activities and therapeutic effects against various diseases, our current knowledge of its effect on stroke is very limited. Stroke is a neurodegenerative disorder in which oxidative stress is a key hallmark. Following the 2005 discovery by Igarashi's group that acrolein produced from polyamines in vivo is a major cause of cell damage by oxidative stress, we now describe the effects of anti-oxidative extracts from P. igniarius on symptoms of experimentally induced stroke in mice. The toxicity of acrolein was compared with that of hydrogen peroxide in a mouse mammary carcinoma cell line (FM3A). We found that the complete inhibition of FM3A cell growth by 5 μM acrolein could be prevented by crude ethanol extract of P. igniarius at 0.5 μg/ml. Seven polyphenol compounds named 3,4-dihydroxybenzaldehyde, 4-(3,4-dihydroxyphenyl-3-buten-2one, inonoblin C, phelligridin D, inoscavin C, phelligridin C and interfungin B were identified from this ethanolic extract by LCMS and 1H NMR. Polyphenol-containing extracts of P. igniarius were then used to prevent acrolein toxicity in a mouse neuroblastoma (Neuro-2a) cell line. The results suggested that Neuro-2a cells were protected from acrolein toxicity at 2 and 5 μM by this polyphenol extract at 0.5 and 2 μg/ml, respectively. Furthermore, in mice with experimentally induced stroke, intraperitoneal treatment with P. igniarius polyphenol extract at 20 μg/kg caused a reduction of the infarction volume by 62.2% compared to untreated mice. These observations suggest that the polyphenol extract of P. igniarius could serve to prevent ischemic stroke. PMID:25811373

We have calculated the general dispersion relationship for surface waves on a ferrofluid layer of any thickness and viscosity, under the influence of a uniform vertical magnetic field. The amplification of these waves can induce an instability called peaks instability (Rosensweig instability). The expression of the dispersion relationship requires that the critical magnetic field and the critical wavenumber of the instability depend on the thickness of the ferrofluid layer. The dispersion relationship has been simplified into four asymptotic regimes: thick or thin layer and viscous or inertial behaviour. The corresponding critical values are presented. We show that a typical parameter of the ferrofluid enables one to know in which regime, viscous or inertial, the ferrofluid will be near the onset of instability. Nous avons calculé la relation de dispersion des ondes de surface dans une couche de ferrofluide d'épaisseur et de viscosité quelconques, soumise à un champ magnétique normal à sa surface (instabilité de pics de Rosensweig). Cette relation montre que le champ magnétique critique et le vecteur d'onde critique de l'instabilité dépendent de l'épaisseur de la couche de fluide. La relation de dispersion a été simplifiée pour quatre régimes asymptotiques: couche épaisse ou mince et comportement visqueux ou inertiel. Nous avons calculé les valeurs critiques de l'instabilité dans ces quatre cas. Nous montrons qu'un paramètre typique du ferrofluide permet de savoir dans quel régime, visqueux ou inertiel, se situe le ferrofluide près du seuil de l'instabilité.

exports of wine or salt to finance the restoration of the bridges. So it appears that these societies have been able to adapt through a collective memory, a lifestyle, a significant perception of risks, a territory management, the construction of infrastructures, etc. Key words : Little Ice Age, West of France, climate hazards, resilience, adaptation. This work was supported by grants from the Fondation de France through the research program « Quels littoraux pour demain? ».

Introduction Recently, many farmers have converted to low-disturbance tillage land cultivation as disk or plow fields can result in water and wind erosion of soil. So, crop residue and plant crowns and roots are left to hold the soil. However, low-disturbance tillage can be a challenge to manage since the key to crop production still requires good seed-to-soil contact. Therefore, decomposition of stubble in agricultural soils in situ is an issue of the day of modern agriculture. The aim of the present study was to compare different organic and inorganic fertilizer supplements on decomposition of cereal stubble remains in chernozem soil. Materials and methods Field trials were conducted in Krasnodar region, Russia. To promote stubble decomposition, a biopreparation that was cultural liquid obtained during cultivation of white-rot fungi Coriolus hirsutus 075 (Wulf Ex. Fr.) Quel. was used at the dosage of 150 ml/ha. The other tested supplements included ammonium nitrate (34 kg/ha), commercially available humate LignohumateTM (0.2 kg/ha) and combination of Lignohumate and biopreparation. Test plots were treated once after wheat harvesting. Non-treated ploughed plot was used as a blank. Soil samples were collected within 2 and 14 weeks after soil treatment. To control soil potential for stubble remains decomposition enzymatic activity is soil was determined. To perform soil analysis, stubble remains were carefully separated from soils followed by soil extraction with 0.14 M phosphate buffer pH 7.1 and analysis of the extracts for laccase and peroxidase activities [1,2]. Estimation of stubble decomposition in soil was performed by cellulose contents determination [3]. Results and discussion The obtained results demonstrated after 14 weeks of treatment increase of soil enzymatic activity due to soil supplementation was observed. Introduction of ammonium nitrate resulted in 108% of peroxidise activity as compared to blank. That value for Lignohumate variant was estimated

. These ones integrated risks into their lifestyle and developed their territories accordingly. The past coastal societies had a significant risk awareness related to mental perceptions and several cultural practices. In 1451, a memorandum, sent to the board of King Charles VII, set forth the feeling of coastal communities facing the sea and its dangers. Moreover, these extreme climatic hazards have led the various authorities of the realm to make decisions accordingly. On June 23th 1511, after a violent storm occurred a year and a half before in the Bay of Bourgneuf, the Duchess Anne of Brittany tax exempted populations for five years. This kind of event brings to light the seniority of the concerns and the active research of answers to deal with climate hazards. Thus, this research offers a reflection on the reactions and adaptation of populations, political and judicial fields. Their goal was to provide a "post-disaster" support and prevent future risks. Key words : Little Ice Age, coastline, storm, societies' reactions, adaptation. This work was supported by grants from the Fondation de France through the research program « Quels littoraux pour demain? ».